Thyroid

Recurrent thyroid carcinoma

March 31, 2008     Sofia Avitia, MD, Jason S. Hamilton, MD, and Ryan F. Osborne, MD, FACS
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Minimally invasive endoscopic thyroidectomy

February 1, 2008     Sofia Avitia, MD, Jason S. Hamilton, MD, and Ryan F. Osborne, MD, FACS
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Diffuse hyperplasia of the thyroid gland (Graves' disease)

October 31, 2007     Lester D.R. Thompson, MD, FASCP
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Intratracheal ectopic thyroid: Case report and review

June 30, 2007     Bari Karakullukçu, MD; M. Güven Güvenç, MD; Harun Cansiz, MD; Fatih Öktem, MD; Büge Öz, MD
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Abstract
Intratracheal ectopic thyroid tissue is a rare abnormality that can cause airway obstruction. The symptoms can easily be confused with those of bronchial asthma. We describe the case of a 40-year-old man with subglottic thyroid tissue and multinodular goiter who had been misdiagnosed earlier with bronchial asthma. After the correct diagnosis was established, the lesion was excised via an external approach. We also discuss the clinical features and management of intratracheal thyroid tissue.

Hypothyroidism following hemithyroidectomy for benign nontoxic thyroid disease

April 30, 2007     Kristin A. Seiberling, MD; Jose C. Dutra, MD; Sanija Bajaramovic, MD
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Anaplastic thyroid carcinoma

April 30, 2007     Troy Hutchins, MD; Paul Friedlander, MD; Enrique Palacios, MD, FACR
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Parathyromatosis

January 1, 2007     Janette M. Carpenter, MSN, FNP; Peter G. Michaelson, MD; Thomas K. Lidner, MD; Michael L. Hinni, MD
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Columnar cell variant of papillary thyroid carcinoma

September 30, 2006     Chester P. Barton III, MD; Joseph A. Brennan, MD; Thomas R. Lowry, MD; Michael J. Russell, MD
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A case of papillary carcinoma arising in ectopic thyroid tissue within a branchial cyst with neck node metastasis

September 30, 2006     Rao K. Mehmood, MBBS, MD; Shaik I. Basha, MBBS, MS; Essan Ghareeb, MBBS
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Abstract
We describe the interesting case of a young man who presented with a lateral neck node that was diagnosed as a branchial cyst. Histopathology of the excised node revealed that a papillary carcinoma was located within thyroid tissue, which in turn was located within a branchial cyst. A total thyroidectomy with local lymph node clearance was performed. Histology identified a normal thyroid gland, but a papillary carcinoma in one of the excised lymph nodes was consistent with a metastasis. To our knowledge, this is only the second reported case of a thyroid carcinoma arising in ectopic thyroid tissue that metastasized in the neck.

Neoplasms metastatic to the thyroid gland

July 31, 2006     Lester D.R. Thompson, MD, FASCP
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Thyroidectomy for substernal goiter via a mediastinoscopic approach

July 31, 2006     Veling W. Tsai, MD, JD; Robert B. Cameron, MD; Marilene B. Wang, MD
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Abstract
We report an unusual case in which a patient presented with a large posterior mediastinal goiter that extended to the level of the aorta. The goiter was resected through a standard Kocher neck incision with mediastinoscopic assistance. The large goiter was completely excised without the need for a sternotomy.

Fibrin glue in thyroid and parathyroid surgery: Is under-flap suction still necessary?

July 31, 2006     Manish Patel, MD; Rohit Garg, MD; Dale H. Rice, MD
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Abstract
The introduction of fibrin sealants has brought into question the necessity of routinely placing suction drains. We conducted a retrospective study to determine whether fibrin sealants are comparable to traditional drains in terms of length of hospital stay and hematoma prevention. We evaluated 124 patients who had undergone thyroidectomy and 47 patients who had undergone parathyroidectomy. Of these, 22 thyroid surgery patients and 10 parathyroid surgery patients had their incisions closed without a drain after the application of fibrin glue. We found that the use of fibrin glue resulted in a statistically significant decrease in the length of hospital stay following both types of surgery (p = 0.033 and p = 0.022, respectively). Two hematomas in the drain group required immediate surgical evacuation; in both of these patients, the suction was clotted and ineffective. One minor hematoma occurred in the fibrin glue group, and it was opened at the bedside 24 hours after surgery. We conclude that fibrin sealants offer a comparative advantage over under-flap suction in both thyroid and parathyroid surgery. Also, fibrin glue is less expensive, and its use obviates the discomfort felt by patients when a drain is removed.
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